Individual
MR. GARRETT JON MODLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.,R.D.,C.D.N
Contact information
Practice address
622 LACEY DR, ENDWELL, NY 13760-2545
(607) 321-1135
Mailing address
622 LACEY DR, ENDWELL, NY 13760-2545
(607) 321-1135
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005584
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005584
—
NY
05
—
925332
—
NY
Enumeration date
09/22/2011
Last updated
09/22/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us